Teaching Fenix Cafe

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

TEACHING FENIX CAFE

Practice address

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Phone

(973) 206-2130

Fax

(973) 385-1650

NPI assigned

Mar 3, 2020

Organization subpart

Yes

Parent organization

CYNTHIA L LOPEZ-PETTORINO SOLE MBRAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cynthia L Lopez-Pettorino, RDN, CDE

Title

Owner, Provider, Single Member LLC

Phone

(973) 206-2130

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Teaching Fenix RDN Cafe LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1427683192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROXBURY MALL 275 ROUTE 10 EAST,",
            "address_2": "SUITE 220 (PMB #181)",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-206-2130",
            "fax_number": "973-385-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE DR STE 301",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662129",
            "telephone_number": "973-206-2130",
            "fax_number": "973-385-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHING FENIX CAFE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYNTHIA L LOPEZ-PETTORINO SOLE MBR",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-PETTORINO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PROVIDER, SINGLE MEMBER LLC",
        "authorized_official_telephone_number": "973-206-2130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, CDE"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI FOR CYNTHIA L LOPEZ-PETTORINO",
            "identifier": "1376849117",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.